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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION GUIDEZILLA? II; CATHETER, PERCUTANEOUS

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BOSTON SCIENTIFIC CORPORATION GUIDEZILLA? II; CATHETER, PERCUTANEOUS Back to Search Results
Model Number H74939335150610
Medical Device Problem Code Contamination (1120)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/11/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Good faith effort attempts were made to try and retrieve additional details regarding the reported event, but further information was unable to be obtained.
 
Event or Problem Description
It was reported that device contamination occurred.A 6f guidezilla catheter guide extension was selected for use.It was noted that device was contaminated.The procedure was completed with another of the same device.
 
Event or Problem Description
It was reported that device contamination occurred.A 6f guidezilla catheter guide extension was selected for use.It was noted that device was contaminated.The procedure was completed with another of the same device.It was further reported that there was no device issue.Prior to the procedure, user handling resulted in the device becoming contaminated.
 
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Brand Name
GUIDEZILLA? II
Common Device Name
CATHETER, PERCUTANEOUS
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
two scimed place
maple grove MN 55311
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
7634941632
MDR Report Key23184644
Report Number2124215-2025-69107
Device Sequence Number18640034
Product Code DQY
UDI-Device Identifier08714729939467
UDI-Public(01)08714729939467(17)270401(10)36203618
Combination Product (Y/N)N
Initial Reporter CountryKS
PMA/510(K) Number
K163314
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 12/24/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberH74939335150610
Device Catalogue NumberH74939335150610
Device Lot Number0036203618
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/11/2025
Supplement Date Received by Manufacturer12/07/2025
Initial Report FDA Received Date09/30/2025
Supplement Report FDA Received Date12/24/2025
Date Device Manufactured04/01/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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